How to Register Online for MJPJAY Yojana?

Explore the registration process for Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY).
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3 min
22-February-2024

The Mahatma Jyotirao Pule Jan Arogya Yojana is a prominent health insurance initiative by the Government of Maharashtra. This program offers comprehensive cashless services for specific diseases through a network of healthcare providers from both the government and private sectors.

What is MJPJAY?

Its primary goal is to ensure beneficiaries receive top-notch medical treatment without the burden of upfront payments for critical illnesses that require hospitalisation, surgeries, or specialised therapies. These services are available through a wide network of healthcare providers associated with the scheme. In this article, we will discuss in detail the registration process for MJPJAY.

How to register for MJPJAY scheme online?

You can follow the steps given below and register online for MJPJAY:

  • Visit a nearby empanelled network hospital or attend health camps where Arogyamitras assist beneficiaries and provide referral letters based on diagnosis.
  • Arogyamitras at network hospitals enroll patients, verifying valid ration cards and Photo IDs. Medical Coordinators capture admission notes and test results in the dedicated database.
  • The hospital raises an e-preauthorisation request for eligible procedures under MJPJAY (996).
  • Insurer's medical specialists review and approve pre-authorisations. Rejected requests are referred to a technical committee for review. ADHS-SHAS makes the final decision on approval or rejection.
  • Ensure the procedure is performed within specified timelines, with a turnaround time of 12 hours for decisions. Emergency Telephonic Intimation (ETI) is used for urgent approvals.
  • Receive cashless medical/ surgical treatment at the network hospital. The medical coordinator updates daily treatment notes on the portal.
  • The network hospital uploads diagnostic reports, discharge summary, and payment acknowledgements. Follow-up procedures are communicated to patients upon discharge.
  • Avail of free follow-up consultation, diagnostics, and medicines up to 10 days post-discharge.
  • The insurer scrutinises bills and settles claims within 15 working days. The claim settlement module is part of the SHAS portal, operated by the insurer.

Who all can register for MJPJAY?

People who fulfil the below mentioned eligibility criteria are eligible to register for Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY):

  • Valid Yellow, Orange, Antyodaya, and Annapurna ration card holders.
  • Beneficiary eligibility, as determined by the State Health Assurance Society (SHAS), relies on various forms of identification such as identity cards, health cards, or other verification methods.
  • Farmers residing in agriculturally distressed districts are identified through their 7/12 extract, White Ration Card, and the beneficiary or head of the family's name, or through certification from the relevant Patwari or Talathi.

Read more: How to register for ABHA health ID card

Documents required to register for MJPJAY

Apart from the yellow/ orange/ white cards, there are other documents required for MJPJAY. Given below is the list of the same:

  • Aadhaar card
  • PAN card
  • Voter Id
  • Driving license
  • School/ College Id
  • Passport
  • Freedom Fighter ID card
  • Health card of RGJAY / MJPJAY
  • Handicap certificate
  • Nationalised bank passbook with photo
  • Senior citizen card issued by Central Government or State Government
  • Defense ex-servicemen card issued by Sainik Board
  • Marine Fishery Identity card
  • Any photo ID proof issued by Government of Maharashtra/ Government of India

In conclusion, registering for MJPJAY is a simple process that ensures beneficiaries gain access to vital medical treatment and benefits. By following the outlined steps, individuals can secure their health and financial well-being.

Read more: Ayushman Bharat card 2024 – registration

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